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- W2387796052 abstract "Objective To observe the anatomy of tibial eminence fractures and to choose of surgical treatment technique. Methods 23 patients underwent arthroscopic observations to find the reason which the fracture fragments were difficult to reduce. All cases were treated arthroscopically through rountine portal and through patellae ligament portal.The anterior cruciate ligament(ACL) and avulsion bone fragment were held figure-of-eight together with two Ethibond 5 polyester threads. The threads were pulled out through tibia tunnels and tighterned and fixed on cannulated screw and washer which under tibia tunnels 2 cm. Results In 23 cases of the fracture gaps,the fragments and blood clots were involved in the fracture in 16 cases,the transverse intermeniscal ligament were involved in the fracture in 7 cases,the synovial hypertrophy were involved in the fracture in 4 cases,and the anterior part of the medial meniscus was involved in 5 cases. A superiorly displaced fragment of the anterior tibial eminence was found in the intercondylar notch in 14 cases of type Ⅲ fractures.Attached to the fragment was not only the ACL but also,in 13 cases,the anterior horn of the lateral meniscus. The operation time were 40～60 (50±6.46)min. A follow-up check up was made in the 23 patients for 10～26(15±3.95) months. All fractures were united without displacement after three months. The Lysholm scores improved from a preoperative score of 19～42 (30.13±6.36) to 90～98(93.91±2.56) at follow-up (t=49.92,P0.01). Conclusions The fracture fragment is diffcult to reduce as it is attached to two structures: the ACL and the anterior horn of the lateral meniscus,pulling in different directions. Arthroscopic figure-of-eight suture fixation with cannulated screw and washer for bony avulsion of the ACL technique is simple to perform and gives a satisfactory short-term results." @default.
- W2387796052 created "2016-06-24" @default.
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- W2387796052 date "2009-01-01" @default.
- W2387796052 modified "2023-09-24" @default.
- W2387796052 title "The arthroscopic observations of anatomy of tibial eminence fractures and choosing of surgical treatment technique" @default.
- W2387796052 hasPublicationYear "2009" @default.
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